| Kettering Sports Medicine | |
|
4403 Far Hills Ave Kettering OH 45429-2405 | |
| (937) 395-3920 | |
| (937) 395-3940 |
| Full Name | Kettering Sports Medicine |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 4403 Far Hills Ave, Kettering, Ohio |
| Authorized Official Name and Position | Timothy Y Ko (CFO) |
| Authorized Official Contact | 9375583223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettering Sports Medicine 1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 Ph: (937) 762-1305 | Kettering Sports Medicine 4403 Far Hills Ave Kettering OH 45429-2405 Ph: (937) 395-3920 |
| NPI Number | 1821160243 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 10/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821160243 | NPI | - | NPPES |
| 2864833 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Kevin G Malloy Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5250 Far Hills Ave, Ste 250, Kettering, OH 45429 Phone: 937-435-6500 Fax: 937-435-6514 | |
Kettering Breast Evaluation Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 580 Lincoln Park Boulevard, Suite 200, Kettering Breast Evaluation Center, Kettering, OH 45429 Phone: 937-299-0099 | |
Post Acute Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1251 E Dorothy Ln, Suite A, Kettering, OH 45419 Phone: 513-575-6325 Fax: 937-853-0552 | |
Infectious Diseases Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3533 Southern Blvd Ste 4200, Kettering, OH 45429 Phone: 937-572-7648 Fax: 937-832-8279 | |
Coumadin Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-384-6845 Fax: 937-384-6939 | |
Khn Ip Med Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-6665 Fax: 937-522-9260 | |
Fred L Tanzer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hempstead Station Dr, Kettering, OH 45429 Phone: 513-543-3746 Fax: 513-557-3347 |